The performance of conventional and fluorescence-based methods for occlusal caries detection

Diniz, Michele Baffi; Boldieri, Thalita; Rodrigues, Jonas de Almeida; Pinto, Luiz Gustavo Rodrigues; Lussi, Adrian; Cordeiro, Rita de Cássia Loiola

doi:10.14219/jada.archive.2012.0176

Cited by 80 publications

(87 citation statements)

References 39 publications

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“…The International Caries Detection & Assessment System (ICDAS) 17 is an accessible set of criteria for dentists, researchers and professors and presents acceptable sensitivity and specificity to the detection of occlusal caries 4,5,10,18,19 . According to this system, caries detection on coronal teeth surfaces is a process that comprises two stages.…”

Section: Introductionmentioning

confidence: 99%

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Presoto

Trevisan

Andrade

et al. 2017

Rev. odontol. UNESP

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ResumoIntrodução: A detecção de pequenas lesões de cárie ainda é um desafio para profissionais da Odontologia, que em sua prática clínica dispõem de uma grande variedade de métodos para detectar cáries nas superfícies oclusais. Objetivo: Avaliar clinicamente a efetividade da câmera de fluorescência Vista Proof, da microcâmera intraoral digital Vista Cam e do critério visual ICDAS (International Caries Detection and Assessment System) para detecção de lesões de cárie nas superfícies oclusais. Material e método: Cento e sete dentes posteriores de pacientes adultos foram examinados visualmente e por meio de radiografias digitais por um examinador que os classificou de acordo com a presença ou ausência de cárie. Os dentes foram então avaliados por outro examinador que utilizou o ICDAS, fluorescência e imagens digitais ampliadas. A efetividade dos métodos foi mensurada por meio da sensibilidade, especificidade, razão de verossimilhança positiva e negativa. Para cada método, a curva ROC (Receiver Operating Characteristic) e a área sob a mesma -AUROC (Area Under the ROC curve) foram estimadas. Resultado: Houve excepcional capacidade discriminante para as imagens intraorais (AUROC=0,93) e para o ICDAS (AUROC=0,91), com diferença estatística não significativa entre eles (z=0,35, p=0,73). A fluorescência apresentou capacidade discriminante aceitável (AUROC=0,78), embora tenha sido menor que os outros. A razão de verossimilhança positiva para a fluorescência foi 2,32, comparado a 20,58 para a imagem intraoral e 58,11 para o ICDAS. Conclusão: Ambos os métodos e o ICDAS exibiram um adequado desempenho clínico, sendo que o ICDAS e a imagem intraoral foram mais efetivos que a fluorescência.Descritores: Cárie dentária; efetividade; diagnóstico; fluorescência. AbstractIntroduction: The detection of small caries lesions is still a challenge for dental professionals who in their clinical practice have a wide variety of methods to detect caries on occlusal surfaces. Objective: To clinically assess the effectiveness of the Vista Proof fluorescence camera, the Vista Cam digital intraoral micro camera and the International Caries Detection and Assessment System (ICDAS) visual criterion for detecting caries lesions on occlusal surfaces of permanent teeth. Material and method: One hundred and seven posterior teeth from adult patients were examined visually and by means of digital radiographs by an examiner who rated them according to the presence or absence of occlusal caries. The teeth were then assessed by the other examiner using ICDAS, fluorescence and magnified digital images. The effectiveness of the methods was measured based on sensitivity, specificity, positive and negative likelihood ratio. For each method, the Receiver Operating Characteristic (ROC) curve and the Area Under the ROC curve (AUROC) were estimated. Result: There was exceptional discrimination capacity for the intraoral images (AUROC=.93) and the ICDAS (AUROC=.91), with no significant statistical difference between them (z=.35, p=.73). The fluorescence exhibited a...

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Section: Introductionmentioning

confidence: 99%

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Presoto

Trevisan

Andrade

et al. 2017

Rev. odontol. UNESP

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“…Other studies have used this system to compare caries diagnosis methods in deciduous teeth [18][19][20][21][22] and permanent teeth [23], and some of these are validated methods [24,25]. Some studies have analyzed the reproducibility and accuracy [26] of the methods, and others have identified their role in making decisions about the disease treatment and control [9,23].…”

Section: Introductionmentioning

confidence: 99%

Caries Diagnosis in the Mixed Dentition Using ICDAS II

Souza¹,

Bezerra²,

Amorim³

et al. 2015

Pesqui. bras. odontopediatria clín. integr.

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Objective: To assess the dental caries prevalence with ICDAS II in the mixed dentition, 40 children aged 7 to 11 years old, participating in a social program, whose parents and/or guardians signed a informed consent form. Material and Methods: Clinical examination was carried out after brushing. A single researcher performed the examination and the diagnosis consistency was obtained by Kappa coefficient in 12% of the sample. All dental surfaces were examined receiving a two-digit code. The first one refers to the presence of restoration/sealant and the second, the severity of carious lesions. The data was processed at SPSS software version 10.0 and analyzed using descriptive statistics (absolute distribution, percentage, mean and standard deviation). Results: The coefficient intra-examiner agreement was 0,83. Caries prevalence was considered high because 100% of the children had some surface with non-cavitated caries lesion. ICDAS II can be easily transformed to dmf-s or DMF-S without compromising its integrity. For dmf-s/DMF-S decayed surfaces were considered ICDAS codes 3 to 6, resulting in a dmf-s = 6,57 where 11 children (27,5%) presented no decayed deciduous teeth surface. DMF-S = 2,0 showed that 15 children (37,5%) had none decayed permanent surface, determining a underestimation of the caries disease when using dmf-d/dmf-s and DMF-S indexes. Conclusion: A careful viewing of initial caries lesions makes ICDAS II usefull in evaluating the health promotion actions impact, supporting the planning process, implementation and evaluation of program activities.

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“…A great number of studies deal with the development and the use of new technologies to improve the diagnosis of dental caries, especially at the early stages 5,[12][13][14][15][16][17][18][19] . Generally, such studies are performed under controlled conditions, in vitro (laboratory settings) or in vivo (clinical settings) methodology.…”

Section: Discussionmentioning

confidence: 99%

“…However, those validation methods could not be adopted because the design of the present study simulates a real epidemiological survey of dental caries. Satisfactory results from the CL2 or CL2BW exams have been related in literature 13,20 , especially when immediate operative intervention is not implemented 12,15 . The exclusive use of bitewing radiographs as baseline in permanent dentition may be considered for populations with an overall low caries prevalence.…”

Section: Discussionmentioning

confidence: 99%

“…This is critical in populations whose caries prevalence is low, increasing the probability of false positive diagnoses 5,12,21 . In spite of its performance in non-cavitated caries lesions on occlusal surfaces 13,19 , use of DIAGNOdent™ in epidemiological surveys might be not recommended mainly due to its high cost. It is important to mention that improvement in detecting caries with the DIAGNOdent™ could be also explained by its trend to produce false-positive diagnoses 4 .…”

Section: Different Methods Of Dental Caries Diagnosis In An Epidemiolmentioning

confidence: 99%

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Different methods of dental caries diagnosis in an epidemiological setting

Silva¹,

Assaf²,

Ambrosano³

et al. 2015

Braz. J. Oral Sci.

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Aim: To evaluate the performance of dental caries detection when adjunct methods are associated and their applicability in epidemiological survey of dental caries, at D3 (cavitated carious lesions at dentin layer) and D1+D3 (non cavitated and cavitated carious lesions at enamel/dentin layer) diagnostic thresholds. Methods: A total of 2189 posterior teeth from 165 12-year-old schoolchildren underwent visual examination without (CL1) and with artificial lighting (CL2), radiographic bitewing (BW), fiber-optic transillumination/FOTI (FT), DIAGNOdent TM (DD) and associations of these methods. Reproducibility was calculated by Kappa statistics and validity was calculated by sensitivity, specificity and accuracy tests. ANOVA (Scott-Knott test) was performed in order to compare the average values of DMF-S obtained by the diagnostic methods. Results: The CL2FTDDBW (D3) and CL2BW (D1+D3) exams presented the highest values for accuracy at epidemiological setting. The DMF-S index obtained for those exams was statistically different at D3 and D1+D3 thresholds. Conclusions: The association of adjunct methods increased the validity of dental caries examination in an epidemiological setting. However, the potential of CL2BW (traditional caries detection methods) or visual exam performed under a more refined diagnostic criteria must be considered in dental caries epidemiological surveys.

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The performance of conventional and fluorescence-based methods for occlusal caries detection

Cited by 80 publications

References 39 publications

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Caries Diagnosis in the Mixed Dentition Using ICDAS II

Different methods of dental caries diagnosis in an epidemiological setting

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